Non iatrogenic paediatric vascular trauma of the extremities and neck

Peripheral Vascular Trauma in Pediatrics: A Case Report and Literature Review

“…Depending on the institution, they can be treated by the general surgeon, the pediatric surgeon, the vascular surgeon, orthopedic surgeon or plastic surgeon [11]. Currently used techniques have been derived from the experience with adult patients, and opting for vascular repair or ligation remains at the discretion of the surgeon [2,8,12,13]. Penetrating trauma tends to produce a vascular transection, being more prone to repair in contrast to a closed trauma, which causes a more extensive and disseminated lesion that results inadequate for primary repair [13].…”

Surgical approach to vascular iatrogenic injuries in pediatric cases

“…A surgical approach may vary according to the site of injury and the route, but the most common techniques generally include ligation, the primary repair of the vessel, an endto-end anastomosis, and a repair with a graft interposition. [1,3,5,10,11,13] It is also common practice to perform thrombectomy in these cases with an accompanying thrombosis. [8,[11][12][13][14] The thrombectomy catheter should be carefully chosen, and it is also suggested not to reach a full inflation to prevent a possible endothelial catheter-induced injury.…”

“…[1,3,5,10,11,13] It is also common practice to perform thrombectomy in these cases with an accompanying thrombosis. [8,[11][12][13][14] The thrombectomy catheter should be carefully chosen, and it is also suggested not to reach a full inflation to prevent a possible endothelial catheter-induced injury. [11,13,14] We also applied a similar therapeutic approach in this study.…”

“…[8,[11][12][13][14] The thrombectomy catheter should be carefully chosen, and it is also suggested not to reach a full inflation to prevent a possible endothelial catheter-induced injury. [11,13,14] We also applied a similar therapeutic approach in this study. The mode of anesthesia was mostly general anesthesia as appearing in many of the various reports.…”

“…Their group included 6 patients who also underwent a fasciotomy. [13] Shah et al also conducted a study including vascular injuries accompanied by many traumatic bone fractures and reported the mean hospital stay as 5.00±5.08 days and the mean ICU stay as 4.14±4.05 days. [3] In our study, the mean hospital stay was found to be shorter than expected compared to that in these reports.…”